Annals Of Work Exposures and Health最新文献

{"title":"Desorption efficiency and holding capacity of acid-treated filters for nicotine sampling in vape shops.","authors":"Toluwanimi M Oni, Sanjeewa Gamagedara, Evan L Floyd","doi":"10.1093/annweh/wxae080","DOIUrl":"10.1093/annweh/wxae080","url":null,"abstract":"<p><p>Efficient sampling materials are essential for assessing nicotine levels in vape shops and other settings where nicotine exposures may exist. Two different treatments of Whatman glass fiber type A (GF/A) filters (sodium bisulfate treated and citric acid treated) were evaluated for nicotine capture, desorption efficiency, and holding capacity using Gas Chromatography-Mass Spectrometry (GC-MS). The Filters were treated with 0.8 mL of 0.1 M sodium bisulfate or citric acid solution and oven-dried (80 °C) for 30 min. Nicotine was desorbed off the filters using a modified analytical method. The average nicotine desorption efficiency for sodium bisulfate-treated GF/A filters (98.4%) was significantly higher than that of citric acid-treated GF/A filters (60.9%) over a range of 1-100 µg nicotine. Sodium bisulfate-treated and citric acid-treated GF/A filters experienced a 10% nicotine breakthrough after being dosed with about 550 and 2,750 µg of nicotine, respectively compared to 75 µg for untreated GF/A filters. Citric acid-treated GF/A filters had a much greater nicotine-holding capacity, but nicotine desorption from citric acid-treated GF/A filters was below the recommended criteria. Therefore, we recommend that sodium bisulfate-treated GF/A filters are employed for sample of nicotine with the GC-MS method.</p>","PeriodicalId":8362,"journal":{"name":"Annals Of Work Exposures and Health","volume":" ","pages":"104-108"},"PeriodicalIF":1.8,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exposure to cooking fumes in cafeteria workers in Korean schools: a pilot study.","authors":"Daesung Lim, Yong Min Cho","doi":"10.1093/annweh/wxae078","DOIUrl":"10.1093/annweh/wxae078","url":null,"abstract":"<p><strong>Objectives: </strong>This study measured cooking fumes to which workers in school cafeterias may be exposed.</p><p><strong>Methods: </strong>The measurement items were respirable dust, formaldehyde, and carbon monoxide. A total of 111 samples were obtained from 55 schools. Data on variables such as school size and daily cooking oil usage were collected. Correlation and association analysis were performed.</p><p><strong>Results: </strong>The median of concentrations of respirable dust was 38.37 µg/m3 (min-max: 20.73-49.71 µg/m3). The concentrations of formaldehyde and carbon monoxide also showed levels that did not exceed 20% for occupational exposure limits. The increase in school size was significantly correlated with the increase in daily cooking oil usage and had a significant correlation with respirable dust concentration (Spearman's correlation coefficient, 0.36; P <0.05). The linear regression test results adjusting for other variables were also similar.</p><p><strong>Conclusions: </strong>Cooking food by frying at high heat using cooking oil can increase the exposure of kitchen workers to respirable dust.</p>","PeriodicalId":8362,"journal":{"name":"Annals Of Work Exposures and Health","volume":" ","pages":"109-113"},"PeriodicalIF":1.8,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do job demands and resources differ between permanent and temporary eldercare workers in Sweden?","authors":"Nestor Lögdal, Sven Svensson, Jennie Jackson, Svend Erik Mathiassen, Gunnar Bergström, David M Hallman","doi":"10.1093/annweh/wxae077","DOIUrl":"10.1093/annweh/wxae077","url":null,"abstract":"<p><strong>Introduction: </strong>Eldercare organizations face high sickness absence rates and staff turnover and rely heavily on temporary workers to fill staffing gaps. Temporary workers may experience differences in job demands and resources compared with permanent workers, but this has been largely understudied.</p><p><strong>Objective: </strong>To compare perceived job demands and resources between permanent and temporary Swedish eldercare workers.</p><p><strong>Methods: </strong>Permanent and temporary eldercare workers in a Swedish municipality were invited to answer a digital survey on work environment conditions. Differences between permanent and temporary workers in job demands and resources were analyzed using multivariate analysis of variance adjusted for age, sex, place of birth, and percent of full-time work and univariate analyses were conducted to consider differences in specific factors.</p><p><strong>Results: </strong>A total of 1076 permanent and 675 temporary workers received the survey, and the final study sample included 451 permanent and 151 temporary workers. Multivariate analyses revealed that temporary workers reported statistically significant lower job demands compared to permanent workers, but no statistically significant differences in resources were found between the groups. Univariate analyses showed that temporary workers reported lower quantitative demands, perceived exertion, and time spent bending forward, than permanent workers. These data suggest comparable support across groups, but a higher workload among permanent workers.</p><p><strong>Conclusion: </strong>Our findings indicate that temporary workers experienced lower job demands than permanent workers, but that no notable difference was found in resources. Interventions aimed at distributing job demands more evenly among eldercare workers with different employment forms may be necessary.</p>","PeriodicalId":8362,"journal":{"name":"Annals Of Work Exposures and Health","volume":" ","pages":"71-80"},"PeriodicalIF":1.8,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characterisation and modification of the porous metal foams used for the EN 15051-2 dustiness rotating drum test.","authors":"Delphine Bard, Graeme Hunwin, Andrew Thorpe, Kirsty Dewberry, Garry Burdett, Michael Hemingway","doi":"10.1093/annweh/wxae076","DOIUrl":"10.1093/annweh/wxae076","url":null,"abstract":"<p><p>Two approaches were used to evaluate the performance of the reticulated metal foams used to size select and collect dust generated in the dustiness rotating drum tester according to the EN 15051-2 standard \"Workplace exposure-Measurement of the dustiness of bulk materials-Rotating drum test\". Firstly, the detailed performance of the metal foams was measured in a calm air chamber using a polydisperse aerosol of glass particles and assessed against the respirable conventions described in the EN 481 standard \"Workplace atmospheres-Size fraction definitions for measurement of airborne particles\". Secondly, the performance of the EN 15051-2 metal foam size selection for the respirable fraction was compared using the rotating drum dustiness test, with that of a cyclone set-up, using 4 polydisperse glass powders of different size distribution and dustiness potential. The research discusses further improvements to the EN 15051-2 standard and an approach to more closely match the EN 481 convention. In general, for the respirable fraction, the tests in this study demonstrated a conservative oversampling by the current EN 15051-2 metal foam set-up in comparison with the EN 481 convention. Calculations and tests showed an improved fit was achieved by reducing the inner diameter of the flanges separating the metal foams and the filter. This study also showed the importance of sealing the circumference of the metal foams when testing highly dusty powders. A direct comparison of the respirable dustiness fraction, measured by the current EN 15051-2 metal foams set-up and by a cyclone set-up, showed broad agreement. However, for extremely dusty powders, the metal foams can clog, and dust can accumulate between the 20 and 80 pores per inch foams.</p>","PeriodicalId":8362,"journal":{"name":"Annals Of Work Exposures and Health","volume":" ","pages":"59-70"},"PeriodicalIF":1.8,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142405973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measurements of dust and respirable crystalline silica during indoor demolition and renovation.","authors":"Johanne Ø Halvorsen, Pål Graff, Elin Lovise Folven Gjengedal, Torunn K Ervik","doi":"10.1093/annweh/wxae082","DOIUrl":"10.1093/annweh/wxae082","url":null,"abstract":"<p><p>Increased focus on renovating and maintaining the existing building stock is an integral part of the circular economy, however this might pose challenges to workers health. The aim of this study was to assess the renovation workers' exposure to inhalable dust, thoracic dust, respirable dust, and respirable crystalline silica (RCS). Personal aerosol samples were collected as full shift samples from 92 workers to a total of 407 samples. Fourteen locations around Oslo, Norway was visited for multiple days with repeated measurements of the same individual. Particulate matter from 3 aerosol fractions, respirable, thoracic, and inhalable, were analyzed gravimetrically, and the respirable fraction was analyzed for RCS by NIOSH 7500 method for X-ray diffraction (XRD) with low temperature plasma ashing sample preparation. The total measured concentrations of respirable dust (n = 192) had a geometric mean (GM) of 0.88 mg/m3, RCS concentrations (n = 182) had a GM of 0.040 mg/m3, thoracic dust (n = 131) had GM 2.4 mg/m3, and inhalable dust (n = 84) had a GM of 8.5 mg/m3. The maximum measured concentrations were 29 mg/m3, 3.2 mg/m3, 65 mg/m3, and 163 mg/m3, respectively. Workdays involving tasks such as mechanical demolition and clearing out demolished materials led to the highest exposure levels of both dust and RCS. However, other workers at the renovation sites were indirectly exposed to a considerable amount of RCS. This study revealed substantial exposure to both RCS and dust during renovation, and protective measures are warranted to reduce exposure levels in the industry.</p>","PeriodicalId":8362,"journal":{"name":"Annals Of Work Exposures and Health","volume":" ","pages":"48-58"},"PeriodicalIF":1.8,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142493705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of occupational exposure to micro/nano particles generated from carbon fiber-reinforced plastic processing.","authors":"Jun Kumoi, Akihiko Ikegami, Yutaka Matsumi, Yuji Fujitani, Gaku Ichihara, Takeo Yano, Sahoko Ichihara","doi":"10.1093/annweh/wxae081","DOIUrl":"10.1093/annweh/wxae081","url":null,"abstract":"<p><p>Carbon fiber-reinforced plastics (CFRP) are leading functional materials with superior strength and low mass density compared to metal. Our previous factory site analyses found that CFRP processing generates fibrous debris and fine micro/nano-sized particles of various shapes. The present interventional study was conducted at a factory located in Japan and evaluated debris consisting of various-sized particles generated during the industrial processing of CFRP, such as cutting, grinding, and turning of CFRP pipes, using real-time particle monitoring devices of the following: PM4 Digital Dust Monitor (DDM), handled Optical Particle Counter (OPC), Condensation Particle Counter (CPC), and Scanning Mobility Particle Sizer (SMPS). In addition, personal exposure of workers was evaluated using a novel wearable PM2.5-compatible device (P-sensor). First, we confirmed the presence of micro/nano particles in the dust generated during industrial processing of CFRP. Finer CFRP-generated particles were detected by the nanoparticle-compatible devices; CPC and SMPS, but not by OPC or DDM. The dynamic detection pattern of the P-sensor resembled that recorded by the nanoparticle-compatible devices. The novel wearable P-sensor can be used to measure finer particles generated by CFRP processing in occupational settings. Second, the exposure assessment was conducted twice and the levels of the micro/nano particles in the second survey were significantly (less than half) lower than that in the first survey. By avoiding immediate power-off of the exhaust system after operations, the scattering of particles was effectively reduced. Our results indicate that effective use of local exhaust ventilation system improves the workplace environment for particle exposure.</p>","PeriodicalId":8362,"journal":{"name":"Annals Of Work Exposures and Health","volume":" ","pages":"34-47"},"PeriodicalIF":1.8,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142602920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estimating the time-varying emission rate of peracetic acid.","authors":"Ryan Hines, Chun-Yu Chen, Mark Nicas, Gurumurthy Ramachandran","doi":"10.1093/annweh/wxae100","DOIUrl":"https://doi.org/10.1093/annweh/wxae100","url":null,"abstract":"<p><p>The use of peracetic acid (PAA) as a general disinfectant has seen increasing usage in recent years, and although it is a strong irritant, exposure monitoring for PAA may often be difficult due to relatively high costs and the potential for interferences by other co-occurring chemicals such as hydrogen peroxide. These issues with exposure monitoring make modeling a potentially useful tool in exposure assessment of PAA if model parameters can be accurately determined. This study estimates the time-varying mass emission rate of PAA for use in exposure modeling by using the small spill model and examines the effect of various environmental conditions on the PAA evaporation rate, including surface roughness/substrate, general ventilation rate, and local wind speed. The relatively high evaporation rate constant (1.18 min-1) determined did not vary significantly with these parameters, suggesting it is applicable across a wide range of common environmental conditions. In addition, in a controlled chamber setting, the first-order decay rate constant for PAA in air was determined to be 0.5 h-1. The corresponding half-life of 83 min is approximately 4 times longer than previous estimates. This decay rate should be accounted for in future modeling and exposure assessments. To evaluate the estimated evaporation rate, trials were conducted in a highly controlled exposure chamber using conditions similar to those found in healthcare settings to compare predicted modeled concentrations to those made by a real-time detection instrument, SafeCide 2.0 (ChemDAQ, Inc.). The results of the trials indicate that the evaporation rate constant and well-mixed room model perform well in predicting the concentration of PAA over a range of conditions. Moreover, the modeling results and measured concentrations across all trials indicate a high potential for overexposure to PAA. Therefore, exposure controls must be adequate when considering the use of PAA as a general disinfectant.</p>","PeriodicalId":8362,"journal":{"name":"Annals Of Work Exposures and Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Desktop 3D printers in the workplace: use, emissions, controls, and health.","authors":"Samantha Hall, Jade Sumner, Graeme Hunwin, Samuel Martell, Ian Pengelly, Veronica Brown, James Staff, James Forder, Delphine Bard","doi":"10.1093/annweh/wxae101","DOIUrl":"https://doi.org/10.1093/annweh/wxae101","url":null,"abstract":"<p><p>Desktop three-dimensional (3D) printers are used in businesses, schools, and colleges, and are generally of an unenclosed design which may give rise to injuries or inhalation exposure to emissions of small particles (<1 µm) and volatile organic compounds (VOCs). The aim of this work was to explore the health risks related to the use of desktop 3D printers in workplaces in the United Kingdom. A digital survey on the use of desktop 3D printers was completed voluntarily and anonymously between February and June 2023, receiving 146 responses. The most common technology and material used for printing were \"filament deposition\" and \"polylactic acid,\" respectively. The median number of printers an organisation had in use in one room was 2. A median of 10 people could be in the room during printer operation. A range of finishing techniques were reportedly applied to the printed object including the use of hand tools and solvents. General room ventilation was the most common exposure control measure stated. Measurements of airborne particles and VOCs were taken at 2 sites: a university and an engineering workshop. Airborne particle number concentrations (<1 µm) did not significantly increase above background levels when the printers were operating at either site. At the university, where there was the largest number of printers in operation, some VOCs could be attributed to the printing process; however, concentrations remained low. Evidence of associated respiratory symptoms was gathered by asking volunteers at the 2 sites visited to complete a questionnaire. Seventeen volunteers across the 2 sites completed the survey. None stated that they had ever experienced acute symptoms from working with 3D printers. However, they did report symptoms which included tiredness, dry/cracked skin, headache, itchy/runny nose, and a cough, with some stating that these improved on their days off. Overall, limited evidence from published literature and this study suggests that exposure to desktop 3D printing emissions could be associated with short-term respiratory health symptoms. However, static measurements in 2 workplaces where multiple desktop 3D printers were in use did not show airborne particle number concentrations in the room rising above background levels and concentrations of measured VOCs were all low. These findings may be due to effective ventilation and other control measures which over half of the workplaces surveyed stated that they had in place.</p>","PeriodicalId":8362,"journal":{"name":"Annals Of Work Exposures and Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142885211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a nano-specific safe-by-design module to identify risk management strategies.","authors":"Hasnae Ben Jeddi, Henk Goede, Remy Franken, Eugene van Someren, Neeraj Shandilya, Ruby Vermoolen, Josephine Steck, Sebastien Artous, Jorge Salvador Hermosilla, Wouter Fransman","doi":"10.1093/annweh/wxae088","DOIUrl":"https://doi.org/10.1093/annweh/wxae088","url":null,"abstract":"<p><p>This article describes the development of a Safe-by-Design (SbD) module and its integration into an easy-to-use tool, named the Nano Exposure Quantifier-Safe-by-Design (NEQ-SbD) tool. The NEQ-SbD tool guides its user to lower the exposure to nanomaterials at the worksite where nanomaterials are manipulated or handled during a wide range of activities. This allows the tool user with an informed decision to assess airborne exposure and to select, compare, and identify appropriate risk management measures (RMM). The SbD module was developed using various information sources that can support and guide the SbD process, including the (i) RMM effectiveness based on analyses of an Exposure Control Efficacy Library (ECEL), (ii) RMM performance using a Computational Fluid Dynamics (CFD) model, (iii) e-cards based on a qualitative analysis of RMM information sources, and (iv) guidance for SbD strategy using an exposure directionality assessment. This information has been integrated in the user interface of the SbD module and NEQ-SbD tool to facilitate the SbD decision-making process. The SbD concept applied in the integrated NEQ-SbD tool introduces a comparison between a baseline exposure assessment and an (improved) SbD exposure assessment. The integrated NEQ-SbD tool consists of 4 modules including (i) a baseline exposure assessment, (ii) baseline results, (iii) SbD assessment, and (iv) SbD comparative results. The main purpose of the SbD module lies in guiding the user to the most sensitive (exposure) parameters and allowing a side-by-side comparison of potentially suitable RMMs. The integrated NEQ-SbD tool also offers a tiered approach and seamlessly shifts from a tier-1 to tier-2 uncertainty of an exposure assessment. The SbD module is illustrated using a worked example for the transfer of nano powders, showing the possibility of identifying SbD solutions for both safe-by-process and safe-by-material design purposes. The NEQ-SbD tool is a valuable tool for the SbD of nanomaterials and as a decision-making tool to support SbD risk management strategies that lead to minimizing health risks associated with occupational exposures.</p>","PeriodicalId":8362,"journal":{"name":"Annals Of Work Exposures and Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142885213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk assessment methods in occupational health and hygiene: a scoping review.","authors":"Andrew Floeder, Rachael M Jones, Susan F Arnold","doi":"10.1093/annweh/wxae095","DOIUrl":"10.1093/annweh/wxae095","url":null,"abstract":"<p><strong>Background: </strong>There are a variety of risk assessment methods to evaluate occupational hazards in the field of industrial hygiene. With the development of emerging technologies in the workforce, the previously established risk assessment methods may need to be adapted or new methods developed to address the risk of new hazards.</p><p><strong>Methods: </strong>A scoping review was conducted consistent with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Data was extracted and analyzed using a matrix method before undergoing a narrative synthesis. Risk assessment methods were classified as traditional and nontraditional.</p><p><strong>Results: </strong>Seventy-nine articles were included in this scoping review, with 81% using traditional risk assessment methods and 19% using nontraditional methods.</p><p><strong>Discussion: </strong>Among the nontraditional methods was control banding, with the most recent applications focused on nanomaterials. This approach, which was borne out of the need for a systematic approach for identifying potential health risks that required the use of engineering controls to be used safely, may have an important role in the area of emerging technologies, where the pace of technological innovation outstrips the rate at which health risks can be assessed and characterized. Risk assessment methods with the capacity to look at groups of similar chemicals and chemical mixtures are needed to address emerging hazards associated with emerging technologies.</p>","PeriodicalId":8362,"journal":{"name":"Annals Of Work Exposures and Health","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}